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Transcript
Academic Sciences
International Journal of Pharmacy and Pharmaceutical Sciences
ISSN- 0975-1491
Vol 5, Issue 4, 2013
Research Article
TRANSFERSOMES AS A TRANSDERMAL DRUG DELIVERY SYSTEM FOR ENHANCEMENT THE
ANTIFUNGAL ACTIVITY OF NYSTATIN
MARWA H. ABDALLAH
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.
Email: [email protected]
Received: 04 Aug 2013, Revised and Accepted: 05 Sep 2013
ABSTRACT
Objective: Transdermal drug delivery has made an important contribution to medical practice, but has yet to fully achieve its potential as an
alternative to oral delivery and hypodermic injections. Various new technologies have been developed for the transdermal delivery of some
important drugs. Physical and chemical means of crossing the lipophilic stratum corneum, the outermost layer of the skin, are being explored. The
goal of the present study was to formulate and evaluate the potential use of transfersomal vesicles as a transdermal drug delivery system for poorly
soluble drug, Nystatin.
Methods: It was investigated by encapsulating the drug in various transfersomal formulations composed of various ratios of Phospholipone H 100,
Span 80, Tween 80 and sodium deoxycholate prepared by lipid film hydration by rotary evaporation sonication method. The prepared formulations
were characterized for light microscopy, and evaluated for particle shape, entrapment efficiency (EE%), stability, and in vitro skin permeation.
Results: The vesicles were spherical in structure as confirmed by Transmission Electron Microscopy. The EE% of nystatin in the vesicles was in the
range of 50-70%. The result revealed that Nystatin in all of the formulations was successfully entrapped with uniform drug content. In vitro skin
permeation studies were carried by abdominal rabbit skin using a dissolution-dialysis apparatus fabricated in our laboratory. The amount of drug
deposited in the skin and the amount permeated were higher in case of transfersomes with an enhancement ratio of 2.59, when compared to
liposomes and the commercial product.
Conclusion: It is evident from this study that transfersomes are a promising prolonged delivery system for Nystatin and have reasonably good
stability characteristics. This research suggests that nystatin loaded transfersomes can be potentially used as a transdermal drug delivery system.
Keywords: Nystatin, Transfersomes, Transdermal drug delivery, Phospholipone H 100, Antifungal.
INTRODUCTION
Transdermal drug delivery systems (TDDS) offer a number of
potential advantages over conventional methods such as injectable
and oral delivery [1]. However, the major limitation of TDDS is the
permeability of the skin, it is permeable to small molecules,
lipophilic drugs and highly impermeable to macromolecules and
hydrophilic drugs. The main barrier and rate-limiting step for
diffusion of drugs across the skin is provided by the outermost layer
of the skin, the stratum corneum (SC) [2]. Recent approaches in
modulating vesicle compositions have been investigated to develop
systems that are capable of carrying drugs and macromolecules to
deeper tissues. These approaches have resulted in the design of two
novel vesicular carriers, ethosomes and ultraflexible lipid-based
elastic
vesicles,
transfersomes
[3].
Transfersomes
are
ultradeformable vesicles possessing an aqueous core surrounded by
the complex lipid bilayer. Interdependency of local composition and
shape of the bilayer makes the vesicle both self-regulating and selfoptimizing [4]. Transfersomes have recently been introduced, which
are capable of transdermal delivery of low as well as high molecular
weight drugs [5]. Transfersomes are specially optimized,
ultraflexible lipid supramolecular aggregates, which are able to
penetrate the mammalian skin intact and then act as a drug carrier
for non-invasive targeted drug delivery and sustained release of
therapeutic agents [6]. Each transfersome consists of at least one
inner aqueous compartment, which is surrounded by a lipid bilayer
with specially tailored properties, due to the incorporation of "edge
activators" into the vesicular membrane. Surfactants such as sodium
cholate, sodium deoxycholate, Span 80, and Tween 80, have been
used as edge activators [7]. Due to their deformability,
transfersomes are good candidates for the non-invasive delivery of
small, medium, and large sized drugs. Materials commonly used for
the preparation of transfersomes are phospholipids (soya
phosphatidyl choline, egg phosphatidyl choline), surfactants (Tween
80, sodium cholate) for providing flexibility, alcohol (ethanol,
methanol) as a solvent, dye (Rhodamine-123, Nile-red) for confocal
scanning laser microscopy (CSLM) and buffering agent (saline
phosphate buffer pH 7.4), as a hydrating medium. Transfersomes
can deform and pass through narrow constriction (from 5 to 10
times less than their own diameter) without measurable loss.
Nystatin (NYS) is a polyene antifungal characterized by a potent
broad-spectrum antifungal action including a wide range of
pathogenic and non-pathogenic yeasts and fungi. The Nystatin is
active against a variety of fungal pathogens including: Candida,
Aspergillus, Histoplasma, and Coccidioides and has been used for
years to treat Candida at the skin and those for the mouth [8].
The aim of this study is to formulate ultraflexible lipid vesicles for
enhanced skin delivery of Nystatin. The system was developed and
evaluated for its physicochemical characteristics, such as particle
size, entrapment efficiency, stability, and In vitro skin permeation.
The compositions of lipid in the transfersomes (cholesterol and
surfactants) were evaluated.
MATERIALS AND METHODS
Materials
Nystatin (NYS) was kindly supplied by Delta pharma (Egypt).
Phospholipone H 100 (PL), sodium deoxycholate (SDC), Span 80
(SP80) and sodium azide were purchased from Sigma Chemical Co.
(St. Louis, USA). Tween 80 (TW80), Chloroform and methanol were
purchased from El-Nasr Pharmaceutical Chemical Co., Cairo, Egypt.
Methods
Preparation of Nystatin loaded transfersomes
Transfersomes were prepared by rotary evaporation-sonication
method described by (Jain et al.; El-zaafarany et al.) [3,9]. The
lipid mixture (500mg) consisted of Phospholipone H 100, edge
activator (surfactant) and drug (10 mg/ml) in different ratios was
dissolved in an organic solvent mixture consisted of chloroform and
methanol (2:1, v/v) then placed in a clean, dry round bottom flask.
The organic solvent was carefully evaporated by rotary evaporation
(Buchi rotavapor R-3000, Switzerland) under reduced pressure
above the lipid transition temperature to form a lipid film on the
wall of the flask. The final traces of the solvents were removed by
Abdallah et al.
Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
subjecting the flask to vacuum over night. The dried thin lipid film
deposited on the wall of the flask was hydrated with a phosphate
buffer solution (pH 6.4) by rotation for 1hr at room temperature at
60 rpm. The resulting vesicles were sonicated for 30 min in a bath
sonicator (Model Julabo Labortechnik GMBH- Germany) to reduce
the size of the vesicles then stored at 4 oC. Different edge activators
in different molar ratios were used for the formulation of
transfersomes, the composition of these formulations is shown in
Table 1. The liposomes (Phospholipon H 100: cholesterol, 7:3) that
act as a control in the present study were prepared by the same
method as described above.
Characterization of Transfersomes
Entrapment Efficiency (EE%)
The EE % of transfersomes was determined after separation of the
non-entrapped drug. Entrapment efficiency of NYS in transfersomal
formulations can be done by Freeze thawing/centrifugation method
[10]. 1 ml samples of transfersomal dispersion were frozen for
24 hrs at −20 °C in eppendorff tubes. The frozen samples were
removed from the freezer and let to thaw at room temperature, then
centrifuged at 14,000 rpm for 50 min at 4 °C. Tranfersomal pellets
were re-suspended in PBS (pH 6.4) and then centrifuged again. This
washing procedure was repeated two times to ensure that the unentrapped drug was no longer present. The supernatant was
separated each time from transfersomal pellets and prepared for the
assay of free drug. The drug content was determined
spectrophotometrically at 306 nm using PBS (pH 6.4) as a blank
[11]. Each result was the mean of three determinations (±SD). The
entrapment efficiency was defined as the percentage ratio of the
entrapped drug concentration to the total drug concentration and
calculated according to the following equation:
EE% = Total drug concentration – Free drug concentration X 100
Total drug concentration
Differential scanning calorimetry measurements (DSC)
The DSC thermograms were recorded on a Schimadzu- DSC 50
differential scanning calorimetry. DSC was carried out for NYS
powder as well as for the plain transfersomes and NYS loadedtransfersomes in the ratio of 90:10% (w/w) (PL: EA). The analysis
was performed on 40 µl or 1-mg samples sealed in standard
aluminium pans. Thermograms were obtained at a temperature
range from 0-300 oC and a scanning rate of 10 ◦ C/min under
nitrogen atmospher. Phosphate buffer (pH 7.4) was employed as
reference [12,13].
In vitro drug release from transfersomes
The in-vitro release of NYS bearing transfersomes through an
artificial cellophane membrane was determined by a simple dialysis
method [14]. The receptor medium was 100 ml PBS (pH 6.4) which
was maintained at 37±0.2 ◦ C and constantly stirred at 100 rpm in a
thermostatically controlled water bath shaker. An amount of
transfersomes pellets equivalent to 2.5 mg drug was placed in the
donor compartment. Samples of 4 ml were withdrawn from the
receptor compartment at 0.5, 1, 2, 4, 6, 8 and 24 hrs intervals, and
immediately replaced with an equal volume of fresh receptor
solution. Triplicate experiments were conducted for each study and
sink conditions were always maintained through out the
experiment. All samples were analyzed for NYS content
spectrophotometrically at a wavelength of 306 nm against PBS (pH
6.4) as a blank [15].
Transmission electron microscopy (TEM)
The surface appearance and shape of NYS-loaded transfersomes
were analyzed by taking TEM photographs using transmission
electron microscope (100 CX, Jeol, Tokyo, Japan). The transfersomes
were dispersed in water and one drop of the diluted dispersion was
placed on a carbon coated grid. The dispersion was left for 2 min, to
allow its absorption in the carbon film, and the excess liquid was
drawn off with filter paper. Subsequently, a drop of 2% ammonium
molybdate was placed on the grid. The excess was removed with
distilled water and the samples were examined by TEM [16,17].
In vitro skin permeation studies
Preparation of a rabbit skin
Abdominal full-thickness skin was obtained from white male rabbits
(2-3 kg) obtained from Faculty of Veterinary Medicine, Zagazig
University, Egypt. The skin was carefully removed from animals after
sacrificing them. The hair was removed from the abdominal skin with
the aid of an electric animal clipper and shaver. Care was taken not to
damage the skin surface. The fat was removed with the aid of scissor
and skin was washed and the excised full thickness rabbit skin
samples were stored at 20oC prior to use. The excised full thickness
abdominal rabbit skin samples were equilibrated by soaking in buffer
solution of pH 6.4 containing 0.02% sodium azide as preservative at
4±1oC for about one hour before beginning of each experiment.
In Vitro permeation studies
The transfersomal formulation which exhibits the highest EE% was
chosen for in vitro permeation studies of NYS through abdominal
rabbit skin in comparison to liposomes, plain drug and commercial
product (Nystatin ® cream, PHARAONIA).. The in-vitro permeation of
NYS from different formulations was determined by using a
dissolution-dialysis apparatus, the cell of which is fabricated in our
laboratory. The dissolution cell consisted of a hollow glass tube of
length [18]. The shaved abdominal rabbit skin was mounted on the
receptor compartment with the stratum corneum side facing upwards
towards the donor compartment and the dermal side facing
downward to the receptor compartment with permeation area of 6.61
cm2. The receptor compartment was then filled with 100 ml of PBS
(pH 6.4) containing 0.02% sodium azide as preservative. The
temperature of media was maintained at 37±0.5oC. Amounts
equivalent to 2.5mg drug of the tested transfersomal formulation were
applied to the skin surface. The glass cylinder was attached to the
dissolution apparatus by using parafilm and stirred at 100 rpm. 4 ml
samples of the solution in the receptor compartment were removed
for drug content determination at different time intervals up to 24 hrs
and replaced immediately with an equal volume of fresh receptor fluid
every time [19]. Samples were analyzed spectrophotometrically at 306
nm using samples collected from permeation of drug free systems as a
blank. Triplicate experiments were conducted for each study and the
average was taken. The cumulative amount of drug permeated
through abdominal rabbit skin per unit area (µg/cm2) was plotted
against time (hrs) [11].The permeation parameters of NYS as steadystate transdermal fluxes (JSS), permeability coefficient (Kp) through the
abdominal rabbit skin and enhancement ratio (ER) were calculated
from the penetration data. The steady-state transdermal fluxes (JSS) of
NYS through the abdominal rabbit skin were calculated from the slope
of linear portion of the cumulative amount of drug permeated through
unit area of the abdominal rabbit skin (ug/cm2) versus time plot. The
permeability coefficient (kp) through the abdominal rabbit skin was
calculated according to the following equations [3]:
Kp = JSS /Cd
ER= Kp of test formulation / kp of plain drug
Where Cd = the initial drug concentration in the donor compartment
(2.5 mg).
Skin retention study
The ability of transfersomes to help retain the encapsulated drug
within the skin (depot-effect) in comparison to liposomes, plain drug
and commercial product was investigated by determining the amount
of drug retained in the skin samples at the end of permeation studies.
After performing the above mentioned in-vitro permeation study for
24 hours, skin mounted on the diffusion cell was removed. The
remaining formulation adhering to the skin was scraped with a spatula
[20]. The skin was cleaned with cotton piece dipped in saline solution
and then gently dried by pressing between two tissue papers to
remove any adhering formulation [21]. Subsequently, the cleaned skin
sample was mechanically shaked with 100 ml of PBS (pH 6.4) in water
shaker bath at 37±0.5oC for 1 hr for complete extraction of the drug.
The filtrate was removed and the drug content in the filtrate was
determined spectrophotometrically at 306 nm using UV
spectrophotometer.
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Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
Statistical analysis
Data were expressed as mean ± SD. The results were statistically
analyzed by analysis of variance ANOVA test; P values less than 0.05
(P<0.05) were considered as significant.
Microbiological assay of Nystatin
Antifungal activity of different formulations was carried out by cup
plate test. The cup plate method depends upon diffusion of
antifungal from a vertical cylinder through a solidified agar layer in a
petri dish or plate to an extent such that growth of added microorganism is prevented entirely in a zone around the cylinder
containing antifungal agent [22]. The agar medium was prepared by
dissolving 65 gm of sabouraud dextrose agar powder per liter of
distilled water and was sterilized using autoclave at 121oC for 20
min. The plates were first sterilized in hot air oven at 160°C for
60 min. Candida albicans suspension (100 μl) was introduced into
each plate and 40 ml of sterile sabouraud dextrose agar was poured
into each plate. The plates were agitated carefully to allow for both
an even distribution of the agar in the plates and a homogenous
mixing of the agar with the test organism. The plates were allowed
to harden. In each plate, four cups, each 6 mm in diameter were
bored in the medium with cork borer. In each plate, 100ul of each
formulation was placed in one of the cups and the plates incubated
at 25°C for 24 hrs [23]. The entire operation was carried out under
aseptic conditions and the mean inhibition zone was calculated. The
antifungal efficacy of NYS-loaded transfersomes prepared from PL:
SP80 (90:10) compared to liposomes and the commercial product
was determined by performing agar-cup diffusion assay. The zones
of growth inhibition were measured for all the tested samples. Each
type of the samples was tested in triplicate. The inhibition zone of
growth of Candida albicans was measured in mm after 24 hrs and
the mean inhibition zone was then calculated.
RESULT AND DISCUSSION
The conventional rotary evaporation sonication method was used to
prepare the transfersomal formulations. Formulations were
prepared by using different types and concentration of EA.
Nystatin entrapment efficiency in transfersomes
1. Effect of phospholipid: edge activator ratio
The EE% increased significantly (P<0.05) with increasing EA
concentration from 2.5 to 10% (w/w) for transfersomes prepared
using SP80, SDC, and TW80, Further increase in EA concentration to
15 then 25% (w/w) showed a significant decrease in EE% (P<0.05),
Table 1. The ratio 90:10% (w/w) showed optimum EE%, Table 1.
Upon incorporation of EA in low concentration, growth in vesicle
size occurred [24], whereas, further increase in the content of edge
activator may have led to pore formation in the bilayers. When EA
concentration exceeded 15%, mixed micelles coexisted with the
transfersomes, with the consequence of lower drug entrapment due
to the rigidity and smaller size of mixed micelles [3,9]. Patel et al.
reported that, the effect of phospholipids and EA ratio in the lipid
components of vesicles on the entrapment efficiency of lipophilic
drug, curcumin, the efficiency decreased with increasing surfactant
concentration [25].
2. Effect of types of edge activator
Table 1 demonstrates the effect of EA types on the EE% of different
transfersomal formulations. The transfersomal formulation (SP804) showed the highest EE% (80.71%±1.11) followed by TW80-4
(74.24% ±0.71 and finally SDC-4 (69.78%±1.54). These results are
related to the HLB values of these edge activators. They are 4.3, 15,
and 16 for Span 80, Tween 80 and sodium deoxycholate,
respectively. Based on these HLB values, the affinity for lipids was
expected to be in the order of SP80 > TW80 > SDC. This
consideration explains the higher EE% encountered with SP80 and
compared to TW80, and SDC. The entrapment efficiency of the SP80
formulation was high because of the increase in the ratio of lipid
volume in the vesicles as compared to the encapsulated aqueous
volume [25].
3. Effect of vesicle composition
Table 1 illustrates the percentages of drug entrapment in
different transfersomal formulations in comparison to
liposomes. The EE of transfersomes formulations were
significantly higher than the liposome formulation (P<0.05). This
result might be attributed to interactions between the
surfactants and NYS forming a complex and this complex was
inserted into the transfersomes bilayers [26]. Fang et al.
reported that adding surfactant, sodium stearate to
phosphatidylethanolamine vesicles significantly significantly
increased the entrapment efficiency of 5-aminolevulinic acid in
comparison to liposomes [27]. Higher entrapment efficiency in
case of transfersomes has also been reported by Gupta et al.
who found that transfersomes revealed significant higher
entrapment efficiency in comparison to liposomes and niosomes
[28].
Table 1: Composition and entrapment efficiency % of different Nystatin Transfersomal formulations
Formulation
Composition
Drug conc. (mg/ml)
Entrapment efficiency %± SD
PL:EA (% w/w)
SP80-1
97.5:2.5
10
61.98±0.62
SP80-2
95:5
10
66.01±0.68
SP80-3
92.5:7.5
10
70.67±1.56
SP80-4
90:10
10
80.71±1.11
SP80-5
85:15
10
68.16±1.13
SP80-6
80:20
10
62.56±1.49
TW80-1
97.5:2.5
10
60.63±1.26
TW80-2
95:5
10
63.13±1.49
TW80-3
92.5:7.5
10
68.14±1.35
TW80-4
90:10
10
74.24±0.71
TW80-5
85:15
10
65.97±0.63
TW80-6
80:20
10
61.44±1.19
SDC-1
97.5:2.5
10
57.22±0.82
SDC-2
95:5
10
59.62±1.13
SDC-3
92.5:7.5
10
63.80±1.04
SDC-4
90:10
10
69.78±1.54
SDC-5
85:15
10
62.53±1.53
SDC-6
80:20
10
58.52±2.08
Liposomes
PL:Chol (7:3)
10
51.85±1.82
SP80-4a
90:10
2.5
50.54±1.84
SP80-4b
90:10
5
71.91±0.52
SP80-4c
90:10
7.5
78.73±0.38
SP80-4d
90:10
15
60.37±0.89
SP80-4e
90:10
20
57.19±2.78

PL: phospholipon H100, EA: edge activator, SDC: sodium deoxycholate, TW80: Tween 80, SP80: Span 80, Chol: cholesterol.

Final lipid concentration in all formulations = 5% (w/w).

Average of three determinations±standard deviation (SD).
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Abdallah et al.
Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
4. Effect of total lipid concentration
5. Effect of drug concentration
The effect of total lipid concentration on the EE (expressed as % or
ug/g lipids) of NYS transfersomes consisting of PL: Sp80 in 90:10
molar ratio was shown in Fig.1. The EE% of NYS increased
significantly (P<0.05) from 56.98±0.79 to 80.71%±1.11 as the total
lipid concentration was increased from 100 mg to 500 mg. However,
the EE expressed as % µg/g lipids decreased significantly from
56.98±0.79 to 16.39±0.22 % µg/g lipids as the total lipid
concentration increased. This means that the amount of lipid taking
part in the encapsulation decreased as the lipid concentration
increased [29]. Similar observations were obtained by Elzaafarany
et al. who reported an optimum lipid concentration for the
encapsulation of diclofenac sodium into transfersomes [3].
The entrapment efficiency (%) increased significantly (P<0.05) from
50.53%±1.84 to 80.71%±1.11 as the drug concentration was
increased from 2.5 mg/ml to 10mg/ml, respectively, in the
transfersomal vesicles (SP80-4), Table 1. However further increase
in the drug concentration to 15 mg/ml lead to a significant
(P=0.002) decrease in the EE % to 57.19%±2.78. The increased EE%
of NYS within the transfersomal vesicles with increasing the drug
concentration during the formulation could be due to the saturation
of the media with drug that forces the drug to be encapsulated into
transfersomal vesicles [30]. When the lipid bilayers became
saturated with the drug, any further increase in drug concentration
will lead to precipitation [3].
100
EE%
90
EE % ug/g lipid
Entrapment efficiency
80
70
60
50
40
30
20
10
0
100
200
300
400
500
Total lipid concentration (g)
Fig. 1: Effect of total lipid concentration on the EE of NYS in transfersomes (SP80-4).
100
SP80-1
SP80-2
SP80-3
SP80-4
SP80-5
SP80-6
90
80
% Drug Released
70
60
50
40
30
20
10
0
0
5
10
15
20
25
30
Time (hrs)
Hr
Fig. 2: Effect of edge activator concentration on the in-vitro release of NYS transfersomal vesicles.
In-vitro drug release studies
In vitro studies for the release of NYS from transfersomes prepared
from SP80 as edge activators with different PL: EA molar ratios were
studied. The release profiles of NYS from different transfersomal
formulations were apparently biphasic release processes, where a
rapid release was observed during the initial phase (first 2 hrs)
results from the release of the surface-adsorbed drug, followed by a
sustained release profile for up to 24 hrs (Fig. 2). The release from
transfersomal formulations after 24 hrs, first increased with
increasing SP80 concentration (from 2.5 to 10%, w/w) in the
transfersomal formulations and then decreased by further
increasing in the concentration of EA. A possible explanation for
lower drug release at low edge activator concentrations may be that
the lipid membranes were more ordered and less leaky, which
impeded drug release [3]. The maximum release was observed in
the formulation containing EA concentration of 10%, because at this
concentration the surfactant molecule gets associated with the
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Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
phospholipid bilayer resulting in better partitioning of the drug, and
resulted in higher drug release from the vesicles [31]. At high edge
activator concentrations, the release of the drug was low due to the
loss of vesicular structure and formation of rigid mixed micelles [3].
The formulations prepared using the ratio of EA for optimum drug
release (90:10%, w/w) was selected to show the effect of type of
edge activator on the release profiles of the drug (Fig. 3). The %
amount of drug released after 24 hrs were 70.56%±0.43,
64.72%±2.16 and 59.29%±2.67 for SP80-4, SDC-4 and TW80-4
transfersomes, respectively. The significant increase in the drug
release in case of SP80 as edge activator could be attributed to the
lipophilic nature of Nystatin. The results are in agreement with Jain
et al. who reported that the release of dexamethasone from
transfersomes was in the order: SP80> SDC> TW80 [9].
Examination of transfersomes by transmission electron
microscopy
The electron micrographs of SP80-4 are shown in Fig.4. They show
the outline and core of the well-identified spherical vesicles
confirming the vesicular characteristics, displaying the retention of
sealed vesicular structure. The vesicles are smaller unilamellar
vesicles with a more homogenous size distribution.
100
SP80-4
90
SDC-4
% Amount of Drug Released
80
TW80-4
70
60
50
40
30
20
10
0
0
5
10 Time (Hr) 15
20
25
30
Fig. 3: Effect of type of edge activator on the in-vitro release of NYS transfersomal vesicles.
Fig. 4: Transmission electron micrographs of transfersomes (SP80-4).
Differential Scanning Calorimetry (DSC)
DSC thermograms of Nystatin, plain (drug-free) transfersomes of the
molar ratio PL:SP 80 (90:10) molar ratio as well as Nystatin-loaded
transfersomes of the same molar ratio, are illustrated in Fig. 5. DSC
thermogram of Nystatin powder showed endotherm at 160 oC. The
DSC thermogram of plain transfersomes (drug free) showed
disappearance of the melting endotherm of Nystatin and appearance
of 2 distinct endotherms at 88.73 oC and 53.47 oC. DSC thermogram
of Nystatin-loaded transfersomes composed PL: SP80 (90:10) molar
ratio also showed disappearance of the melting endotherm of
Nystatin, the intensity of the endotherms markedly increased, and
the major endotherms shifted from 88.73 oC to 80.36 oC and from
53.47 oC to 48.48 oC indicating good interaction of all components.
These results indicated that, the entrapped Nystatin associated with
lipid bilayers interacted to a large extent with them. Absence of the
melting endotherm of Nystatin and shifting of the lipid bilayer
components endotherm suggested significant interaction of Nystatin
with bilayers [13, 32]. The interaction of Nystatin with bilayers
leading to enhanced entrapment of the drug.
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Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
Fig. 5: DSC thermogram of Nystatin (A), plain (drug-free) transfersomes (B) and Nystatin loaded Sp80 transfersomes (C).
In vitro skin permeation study
Fig. 6 illustrates the permeation profiles of NYS (plain drug),
commercial product, NYS-loaded transfersomes (SP80-4, Tw80-4,
SDS-4) and liposomes over 24 hrs. The cumulative amount of NYS
permeated through the abdominal rabbit skin in all vesicle
formulations was significantly (P<0.05) higher than the plain drug.
The amount of NYS permeated through skin from transfersomal
formulations was significantly (P<0.05) higher than that permeated
from liposomal formulation. Transfersomes have shown to be
successful in the delivery of drugs into the skin, because they are
composed of phospholipid and surfactants. Also, they can squeeze
through the pores in the stratum corneum (SC) of the skin [26]. They
can also adsorb onto or fuse with the stratum corneum, and the
intact vesicle can penetrate into and through the intact skin.
Moreover, surfactants are enhancers that solubilize the lipophilic
compound; they also have the potential to solubilize the lipid within
the SC. Surfactants swell the SC, interact with the intercellular
keratin, and fluidize the SC lipids to create channels that allow
increased drug delivery [26].
The amount of NYS permeated from different transfersomal
formulations with different types of EA are found in the following
order: SP80> SDC> TW80. The higher the skin permeation of NYS
from SP80-4 may be related to the lipophilic nature of the drug.
Table (2) demonstrates the steady-state transdermal fluxes (JSS)
and permeability coefficient (Kp) values of NYS permeated
through the abdominal rabbit skin from different formulations.
The steady state flux values were significantly higher (P=0.003)
incase of different transfersomal formulations compared to
liposomes, plain drug and commercial product. The increased in
(JSS) suggesting that, the permeation of NYS increased with the
addition of edge activators.
Drug skin retention after 24 hrs of diffusion studies of different
formulations was compared and the results are recorded in (Table
2). The maximum percents drug retained were noticed with the
transfersomal formulations compared with liposomes, plain drug
and commercial product. The higher drug skin retention in case of
transfersomes may be due to the creation of reservoir effect for
drug in the skin due to deposition of other components of
transfersomes with drug into the skin and there by increasing the
drug retention capacity into the skin [21]. This gave an
understanding that transfersomes could not only prolong the
penetration of drug molecules but also helped to localize the drug
in the skin.
According to the amount of drug permeated and deposited in skin,
steady state flux (Jss) and permeability coefficient (Kp), SP80-4 was
found superior to liposmes, plain drug and commercial product.
Cumulative amount of durg permeated
(ug/cm 2)
250
SP80-4
SDC-4
TW80-4
Liposomes
Commercial Product
Plain Drug
200
150
100
50
0
0
5
10
15
20
25
30
Time (Hr)
Fig. 6: % cumulative Nystatin permeated through skin from different transfersomal formulations in comparison to commercial product.
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Int J Pharm Pharm Sci, Vol 5, Issue 4, 560-567
Table 2: Permeation parameters of Nystatin from different formulations across abdominal rabbit skin
Formulation
SP40-4
SDC-4
Tw80-4
Liposomes
Plain drug
Commercial product
Jss
(µg/cm2. hr)
6.23±1.02
5.88±0.86
5.60±0.73
4.13±0.73
2.40±0.53
2.59±0.59
Kp
(cm/hr *10-2)
0.249±1.42
0.235±1.56
0.224±1.59
0.164±0.89
0.096±0.92
0.100±1.34
In vitro Antifungal Activity
The optimized transfersomal formulation (SP80-4) was further
evaluated for antifungal activity against Candida albicans by cup
plate method. The results of zone of inhibition of NYS transfersomal
vesicles were compared to the commercial product and liposomal
formulation. The zones of inhibition of various formulations are
represented graphically (Fig. 7).
These results demonstrated that, the antifungal activity of the
transfersomes was significantly higher than the liposomes and the
commercial product (p<0.05). These transfersomes acts as carriers
for drug delivery to the particular site of action, the antifungal
activity is created by the drug incorporated into the transfersomal
vesicles. This enhanced antifungal activity is due to enhanced
ER
Percent Drug Deposition
2.59
2.44
2.33
1.72
-----1.06
56.141.32
52.942.00
49.612.00
40.271.98
25.750.23
31.331.62
penetration of transfersomes containing drug through the fungal cell
wall and inhibiting the ergo sterol synthesis [33]. It was noted that,
there was a non significant increase (P=0.061) in the antifungal
activity of NYS loaded transfersomes and liposomes after 24 hrs and
48 hrs while, there was a significant decrease (P=0.021) in the
inhibitory zones at 24 hrs and 48 hrs for the commercial product,
(Fig.7). This can be explained by the fact that, Candida albicans will
be in log phase during 24 hrs and reaches stationary phase at 48 hrs.
The longer duration of antifungal activity of transfersomes
formulations may be attributed to the slow and prolonged release of
the entrapped drug from transfersomal vesicles compared to
commercial product. Furthermore, transfersomes act as a reservoir
system, similar to a slow release vehicle, enabling more uniform and
sustained release of the drug.
Fig. 7: Photograph showing the inhibition zones of different formulations of Nystatin after 24hr (A) and 48 hr (B), 1: Plain transfersomes
(free drug), 2: Nystatin loaded transfersomes (SP80-4), 3: Liposomes, 4: Commercial product.
CONCLUSION
Finally, it may be concluded from the study that transfersomes, can
increase the transdermal flux, prolong the release, and improve the
site specificity of bioactive molecules. Transfersomes may be used as
alternative carriers for transdermal drug delivery systems because
they interact with solid gel phase SC lipids and thus leading to
disruption and fluidization of the SC lipid. Nystatin was successfully
incorporated into transfersomes. From this study, it can concluded
that transfersomes loaded with Nystatin showed a prolonged action
than liposomes and commercial product and it can be developed
successfully to improve the antifungal activity.
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